The Effect of Pointer Finger Friction (PFF) Massage on β-Endorphin Levels and Sleep Quality of Postpartum in Semarang

Sri Rahayu; Runjati Runjati

doi:10.14710/jpki.20.1.23-29

DOI: https://doi.org/10.14710/jpki.20.1.23-29

The Effect of Pointer Finger Friction (PFF) Massage on β-Endorphin Levels and Sleep Quality of Postpartum in Semarang

*Sri Rahayu

- Department of Midwifery, Poltekkes Kemenkes Semarang, Indonesia

Runjati Runjati - Department of Midwifery, Poltekkes Kemenkes Semarang, Indonesia

BibTex Citation Data :

@article{JPKI66315,
    author = {Sri Rahayu and Runjati Runjati},
    title = {The Effect of Pointer Finger Friction (PFF) Massage on β-Endorphin Levels and Sleep Quality of Postpartum in Semarang},
    journal = {Jurnal Promosi Kesehatan Indonesia},
  volume = {20},
    number = {1},
    year = {2024},
    keywords = {massage; β endorphins; sleep quality; postpartum mother},
    abstract = {   Background:    In Asia, more than 54.7% of postpartum mothers experience sleep deprivation, ranging from 50.9%. Massage can increase the levels of endorphins in the body and stimulate the central nervous system (CNS). This study aimed to determine the effect of Pointer Finger Friction (PFF) Massage on β-Endorphin Levels and Sleep Quality in Postpartum Mothers in Semarang City.     Method:    This study was quasi-experimental with a pre-posttest control group design. The population consisted of postpartum mothers in the Semarang City Health Center area, and samples were obtained by simple random sampling. The number of samples were 36 postpartum mothers who were divided into 2 groups. The treatment in the intervention group with PFF was carried out five times, starting on the first postpartum day. Venous blood was collected before and after treatment to measure endorphin levels and sleep quality. Data analysis was performed using the Mann–Whitney U test.       Result:    The results of the study showed most of the respondents were 23 years old and had a high school education (82.9%). The average level of β-endorphins after the treatment group was 135 mg/ml higher than that of the control group (38 pg/ml), and the quality of sleep after the treatment group decreased by 3.5 compared to the control group, with a score of 0.9. There was a relationship between the levels of β-endorphins and sleep quality between the PFF and control groups. To increase the levels of β-endorphins and the quality of sleep of postpartum mothers, we can promote and educate people about the use of the PFF massage method.  },
   issn = {2620-4053},   pages = {23--29}  doi = {10.14710/jpki.20.1.23-29},
    url = {https://ejournal.undip.ac.id/index.php/jpki/article/view/66315}
}

Citation Format:

Abstract

Background: In Asia, more than 54.7% of postpartum mothers experience sleep deprivation, ranging from 50.9%. Massage can increase the levels of endorphins in the body and stimulate the central nervous system (CNS). This study aimed to determine the effect of Pointer Finger Friction (PFF) Massage on β-Endorphin Levels and Sleep Quality in Postpartum Mothers in Semarang City.

Method: This study was quasi-experimental with a pre-posttest control group design. The population consisted of postpartum mothers in the Semarang City Health Center area, and samples were obtained by simple random sampling. The number of samples were 36 postpartum mothers who were divided into 2 groups. The treatment in the intervention group with PFF was carried out five times, starting on the first postpartum day. Venous blood was collected before and after treatment to measure endorphin levels and sleep quality. Data analysis was performed using the Mann–Whitney U test.

Result: The results of the study showed most of the respondents were 23 years old and had a high school education (82.9%). The average level of β-endorphins after the treatment group was 135 mg/ml higher than that of the control group (38 pg/ml), and the quality of sleep after the treatment group decreased by 3.5 compared to the control group, with a score of 0.9. There was a relationship between the levels of β-endorphins and sleep quality between the PFF and control groups. To increase the levels of β-endorphins and the quality of sleep of postpartum mothers, we can promote and educate people about the use of the PFF massage method.

Fulltext View|Download

Keywords: massage; β endorphins; sleep quality; postpartum mother

Article Metrics:

Article Info

Section: Research Article

Language : EN

In Vol 20 No 1: January 2025

Recent articles

Education Role in Stunting Under Two Years among Poor Communities in Indonesia Association of Comorbidities and Levels of Depression among Pre-elderly with HIV in DKI Jakarta Effectiveness of Breastfeeding Counseling Training to Improve Knowledge, Attitude, and Skill of Support Groups More recent articles

Most cited articles

Faktor-faktor yang Mempengaruhi Pemanfaatan Jamban Keluarga di Kecamatan Jatibarang Kabupaten Brebes Analisis Faktor-Faktor yang Berpengaruh Terhadap Kemauan Masyarakat Menjadi Peserta JPKM Mandiri di Wilayah Kota Salatiga Faktor-Faktor Yang Berhubungan Dengan Praktik Wanita Pekerja Seks (WPS) Jalanan Dalam Upaya Pencegahan IMS Dan HIV/AIDS Di Sekitar Alun-Alun Dan Candi Prambanan Kabupaten Klaten Perilaku Kepala Keluarga dalam Menggunakan Jamban di Desa Tawiri Kecamatan Teluk Ambon Kota Ambon Stakeholder Pemerintah Sebagai Prime Mover Keberhasilan Jejaring Pelayanan Kesehatan Peduli Remaja More cited articles

Child E. Breastfeeding A Mother’s Gift, for Every Child [Internet]. Unicef Global Databased; 2018. Available from: https://www.unicef.org/media/48046/file/UNICEF_Breastfeeding_A_Mothers_Gift_for_Every_Child.pdf
Xu C, Papadakis GE, Pitteloud N. Normal endocrine physiology of hypothalamic hormones during ovulation, pregnancy, and lactation. Maternal-Fetal and Neonatal Endocrinology: Physiology, Pathophysiology, and Clinical Management. Elsevier Inc.; 2019. 7–14 p
Shafaei FS, Mirghafourvand M, Havizari S. The effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: A randomized controlled clinical trial. BMC Womens Health. 2020;20(1):1–10
Mindell JA, Sadeh A, Kwon R, Goh DYT. Cross-cultural comparison of maternal sleep. Sleep. 2013;36(11):1699–706
Tham EKH, Tan J, Chong YS, Kwek K, Saw SM, Teoh OH, et al. Associations between poor subjective prenatal sleep quality and postnatal depression and anxiety symptoms. J Affect Disord. 2016;202:91–4
Christian LM, Carroll JE, Porter K, Hall MH. Sleep quality across pregnancy and postpartum: effects of parity and race. Sleep Heal. 2019;5(4):327–34
Abdul Hakam dkk. Profil Kesehatan Kota Semarang. In: Indriana P, editor. 1st ed. Kota Semarang; 2022. p. 59–60
Chen IY, Glynn L, Benca R. Poor subjective sleep quality during pregnancy is associated with postpartum depression. Sleep Med. 2019;64(2019):66
Guyton H. Buku Ajar Fisiologi Kedokteran. 7th ed. Jakarta: Penerbit Buku Kedokteran EGC; 2014. 326–330 p
Jung G-S, Choi I-R, Kang H-Y, Choi E-Y. Effects of meridian acupressure massage on body composition, edema, stress, and fatigue in postpartum women. J Altern Complement Med. 2017;23(10):787–93
Sakala C, Romano AM, Buckley SJ. Hormonal physiology of childbearing, an essential framework for maternal–newborn nursing. JOGNN - J Obstet Gynecol Neonatal Nurs. 2016;45(2):264–75
Ko YL, Lee HJ. Randomised controlled trial of the effectiveness of using back massage to improve sleep quality among Taiwanese insomnia postpartumwomen. Midwifery. 2014;30(1):60–4
Sekiyama T, Nakatani Y, Yu X, Seki Y, Sato-suzuki I. Increased blood serotonin concentrations are correlated with reduced tension/anxiety in healthy postpartum lactating women. Psychiatry Res. 2013;209(3):560–5
Gordon LK, Mason KA, Mepham E, Sharkey KM. A mixed methods study of perinatal sleep and breastfeeding outcomes in women at risk for postpartum depression. Sleep Heal. 2021;7(3):353–61
Walker L, Kang S, Longoria KD. Systematic Review of Health Promotion Frameworks Focused on Health in the Postpartum Period. J Obstet Gynecol neanatal Nurs. 2022;51(5):477–90
Khoso PA, Yew VWC, Hanida M, Mutalib A. Comparing and Contrasting Health Behaviour with Illness Behaviour. J Soc Sci Humanit. 2016;11(2):578–89
Wen SY, Ko YL, Jou HJ, Chien LY. Sleep quality at 3 months postpartum considering maternal age: A comparative study. Women and Birth. 2018;31(6):e367–73
Kishman EE, Liu J, Youngstedt SD, Yang CH, Armstrong B, Wang X. Sleep characteristics during the first year postpartum in a cohort of Black and White women. Sleep Epidemiol. 2024;4(September)
Sarah Pachtman Shetty; Sarah Fogarty. Massage During Pregancy and Postpartum. Clin Obstet Gynecol. 2021;64(3):648–60
Ibrahim EA, Asiah N. Massage Postpartum dan Status Fungsional Ibu Pascasalin di Medan. Bul Farmatera. 2018;3(1):24–32
Ko Y, Associate E, Lee H, Vice MSN, Nurse H. Randomised controlled trial of the effectiveness of using back massage to improve sleep quality among Taiwanese insomnia postpartum women. 2014;30:60–4
Diane L. etc all. The importance of sleep and parity in understanding changes in weight and breastfeeding behavior among postpartum women. Appet J. 2021;170
Matenchuk BA, Davenport MH. The influence of sleep quality on weight retention in the postpartum period. Appl Physiol Nutr Metab. 2021;46(1):77–85
Bhati, S., and Richards K. A Systematic Review of the Relationship Between Postpartum Sleep Disturbance and Postpartum Depression. J Obs Gynecol Neonatal Nurs. 2015;44(3):350–7
Goker A, Kosova F, Koken D S, Demirtas Z. The effect of postpartum period back massage on serum ghrelin, leptin, adiponectin and visfatin levels. Complement Ther Clin Pract. 2021;42(November 2020):1744–81
Mcevoy KM, Bch MB, Rayapati D, Cole KOW, Erdly C, Payne JL, et al. Poor Postpartum Sleep Quality Predicts Subsequent Postpartum Depressive Symptoms in a High-Risk Sample. 2019;15(9):1303-1310
Jiqiang, Brett Einerson , Janet M. Shaw, Ingrid E. Nygaard MD, Xiaoming Sheng , Ali Wolpern MS MJE. Association between sleep quality and physical activity in postpartum women. Sleep Heal. 2019;5(6):598–605
Rachmayanti RD, Kevaladandra Z, Ibnu F, Khamidah N. Systematic Review: Protective Factors from the Risks of Stunting in Breastfeeding Period. J Promosi Kesehat Indones. 2022;17(2):72–8
Sakala C, Romano AM, Buckley SJ. Hormonal Physiology of Childbearing, an Essential Framework for Maternal–Newborn Nursing. J Obstet Gynecol Neonatal Nurs. 2016;45(2):264–75
Han FL, Ho YJ, McGrath JM. The influence of breastfeeding attitudes on breastfeeding behavior of postpartum women and their spouses. Heliyon. 2023;9(3):e13987

Last update:

No citation recorded.

Last update: 2025-09-08 21:10:47

No citation recorded.

Authors still retain significant all copy rights to use and share their own published articles. Jurnal Promosi Kesehatan Indonesia and Universitas Diponegoro supports the need for authors to share, disseminate and maximize the impact of their research and these rights, in any databases.

As a journal Author, you have all copy rights for a large range of uses of your article, including use by your employing institute or company. These Author copy rights can be exercised without the need to obtain specific permission. Authors who publishing in JPKI have wide copy rights to use their works for teaching and scholarly purposes without needing to seek permission, including, but not limited to:

use for classroom teaching by Author or Author's institution and presentation at a meeting or conference and distributing copies to attendees;
use for internal training by author's company;
distribution to colleagues for their research use;
use in a subsequent compilation of the author's works;
inclusion in a thesis or dissertation;
reuse of portions or extracts from the article in other works (with full acknowledgement of final article);
preparation of derivative works (other than commercial purposes) (with full acknowledgement of final article);
voluntary posting on open web sites operated by author or author’s institution for scholarly purposes,

(but it should follow the open access license of Creative Common CC-by-SA License).

Authors/Readers/Third Parties can copy and redistribute the material in any medium or format, as well as remix, transform, and build upon the material for any purpose, even commercially, but they must give appropriate credit (the name of the creator and attribution parties (authors detail information), a copyright notice, an open access license notice, a disclaimer notice, and a link to the material), provide a link to the license, and indicate if changes were made.

Authors/Readers/Third Parties can read, print and download, redistribute or republish the article (e.g. display in a repository), translate the article, download for text and data mining purposes, reuse portions or extracts from the article in other works, sell or re-use for commercial purposes, remix, transform, or build upon the material, they must distribute their contributions under the same license as the original Creative Commons Attribution-ShareAlike (CC BY-SA).